CD Community-Based OT Services, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

CD COMMUNITY-BASED OT SERVICES, LLC

Practice address

644A Cookman Ave
Asbury Park, NJ 07712-7104

Phone

(732) 865-6974

NPI assigned

Jun 6, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christen D'Amico, OTR/LNPI 1174249379

Title

Executive Director, Owner

Phone

(732) 865-6974

Specialties & licenses 1

Addresses

Other names 1

• Blue Dot: Social & Community Wellness Doing business as

Tax ID family

Blue Dot Social Community Wellness2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• CD Community-Based OT Services, LLC

  • Occupational Therapist
  • Belmar, NJ
  • NPI 1275250573
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christen Damico, OTR/L

  • Occupational Therapist
  • Red Bank, NJ
  • NPI 1174249379
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1548002017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644A COOKMAN AVE",
            "city": "ASBURY PARK",
            "state": "NJ",
            "postal_code": "077127104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644A COOKMAN AVE",
            "city": "ASBURY PARK",
            "state": "NJ",
            "postal_code": "077127104",
            "telephone_number": "732-865-6974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CD COMMUNITY-BASED OT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "D'AMICO",
        "authorized_official_first_name": "CHRISTEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR, OWNER",
        "authorized_official_telephone_number": "732-865-6974",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Dot: Social & Community Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Rose Brown, PHARMD
• Paula Andria Bucknor, BA
• Geena Alessia Buono, D.C.
• Meredith A Byrne, LSW
• Erica Castellini
• Peter K Chiang, MD
• Angelo A Chinnici, MD
• Blair Chowansky, DC
• Nicole Clyde, NP
• Compass Mobile Transport

• Occupational Therapist in Asbury Park, NJ
• Providers in Asbury Park, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.